Provider Demographics
NPI:1225652506
Name:METRO MOARCH, INC.
Entity Type:Organization
Organization Name:METRO MOARCH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROHULLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:NOWAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-400-0152
Mailing Address - Street 1:23705 VANOWEN ST STE 351
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-3030
Mailing Address - Country:US
Mailing Address - Phone:310-325-2525
Mailing Address - Fax:310-307-0848
Practice Address - Street 1:11145 TAMPA AVE STE 19A
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-2269
Practice Address - Country:US
Practice Address - Phone:310-325-2525
Practice Address - Fax:310-307-0848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)